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PWCAC 2021 Title Application Form
INDIVIDUAL CHAMPIONSHIP AWARDS: Full members in good standing whose Corgi completes its Canadian Kennel Club championship are eligible to receive an award.

INDIVIDUAL OBEDIENCE AWARDS: Full members in good standing whose Corgi completes its Canadian Kennel Club Obedience Title are eligible to receive an award.

Please include a copy of the CKC certificate confirming title obtained with this application and send to: IRENNE BADER, email: CORGWN@XPLORNET.CA 
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Name of Owner / Nom du/des proprietaires *
Dog's Registered Name / Nom enregistrement du chien *
Dog's date of birth / Date de naissance *
MM
/
DD
/
YYYY
Dog's CKC registration / Numéro d'enregistrement du CKC *
Title applied for / Titre pour lequel vous appliquez *
Date title attained / Date de l'obtention du titre *
What language would you like your certificate to be in? *
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